Marshall Banker Walters

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1440 Broadway
Suite 610
Oakland, CA 94612-2041

Phone

(510) 628-9065

NPI assigned

Jul 25, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1841632247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EL DORADO AVE APT 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115055",
            "telephone_number": "530-828-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BROADWAY",
            "address_2": "SUITE 610",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122041",
            "telephone_number": "510-628-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARSHALL",
        "middle_name": "BANKER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenora Walter
• Patrick Joseph Walter, D.C., M.S.
• Walter'S Pharmacy Inc.
• Joshua Walters
• Mark Walters, MO
• Alexandra Christine Walton, MD
• Clarisha H Walton
• Jalen I Walton
• John William Walton, MD
• Mary Walton

• Community Health Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.